Clinical thinking about delirium
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What are your tool completion rates? What level of delirium are the tools detecting, and do they reflect the real rates of delirium? Only by closely measuring what we are doing can we tell if our hospitals are truly delirium-sensitive.
Guidance to practitioners based on validation data alone is incomplete: a tool performing well under research conditions may not perform well under clinical conditions. At the moment we are mostly operating in the dark, not really knowing if policy advice based on data from research validation data alone is good.